Spectrum Oral Surgery

Financial Policy

Our fees are in accordance with the current Ontario Dental Association’s Oral and Maxillofacial Surgeons suggested fee guide. If you have dental insurance we will gladly submit, electronically, a pre-determination (estimate) for you. We will submit all claims electronically for you. The insurance company will pay you directly; we do not accept direct payment from the insurance company. All fees will be due at the time of treatment. We will accept Visa, MasterCard, Interac, and Cash. We do not except personal cheques.

Insured Patients

I understand that an insurance claim form will be submitted electronically by the office. I am aware I will receive one of two forms, either a “claim acknowledgement form” or an “explanation of benefits” form. I have been informed that the predetermination is just an estimate and that the final fee will be determined at the time of surgery based on the difficulty of surgery. I understand that it is my responsibility to cover the costs of all treatment rendered by the oral surgeon, and that I am financially responsible for the full amount of the account. I understand that any concerns regarding the fees that the insurance company may or may not cover must be discussed with the surgeon prior to the surgery date.

Uninsured Patients

I will be given a written estimate and am aware that it is just an estimate. I understand that it is my responsibility to cover the costs of all treatment rendered by the oral surgeon, and that I am financially responsible for the full amount of the account.